From the Research
The recommended duration for keeping a red rubber catheter in place postoperatively for a loop ostomy is typically 7-10 days. This timeframe allows the ostomy to mature and adhere to the abdominal wall, reducing the risk of complications such as retraction or collapse. The catheter serves as a support structure, maintaining patency and preventing retraction while healing occurs 1. It also aids in identifying the correct lumen for stool passage in cases where the orientation might be unclear.
Key Considerations
- Removal of the catheter should be performed by healthcare providers who can assess if the stoma has adequately matured.
- Premature removal risks stoma retraction or collapse, while leaving it in place too long may increase infection risk or cause tissue irritation.
- After removal, patients should be monitored for proper stoma function and any signs of complications such as retraction, stenosis, or prolapse.
- The use of a red rubber catheter as a stabilizing rod allows for immediate placement of an ostomy appliance, eliminating difficulties with fixation 1.
Complications and Risks
- Stoma-related complications, including surgical and patient-centered complications, can occur regardless of whether the stoma was formed via elective or emergency surgery 2.
- Nighttime symptoms of leakage, soiling, and emptying can be high post-stoma formation, particularly in the ileostomy group, and worsen over time 2.
- Parastomal hernia rates can be significant, with a rate of 34.5% at 2 years, more common in the colostomy group 2.
Best Practices
- Healthcare providers should frequently discuss approaches to reduce complications with patients to enhance patient outcomes 2.
- The care of an enterostomal nurse can be instrumental in preventing complications 3.
- Loop ileostomy (LI) and loop transverse colostomy (LTC) have advantages and disadvantages, and the choice between them should be based on individual patient needs and risk factors 4.